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What should I watch for?
Tell your doctor or health care professional if your symptoms do not improve.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
If you are taking this medicine for Parkinson's disease or a movement disorder, be careful. Slowly increase your daily activities as your condition improves. Do not suddenly stop taking your medicine because you may develop a severe reaction.
You may get dry mouth or eyes, or blurry vision while taking this medicine. Try sugarless gum or hard candy, and drink 6 to 8 glasses of water daily. Brush and floss your teeth regularly and carefully to avoid teeth and gum problems. You may want to wet your eyes with lubricating eye drops. Talk to your doctor if these symptoms become a problem.
There have been reports of increased sexual urges or other strong urges such as gambling while taking some medicines for Parkinson's disease. If you experience any of these urges while taking this medicine, you should report it to your health care provider as soon as possible.
You should check your skin often for changes to moles and new growths while taking this medicine. Call your doctor if you notice any of these changes.
Side Effects to watch for
Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- breathing problems
- changes in vision
- color changes on the skin
- depressed mood
- eye pain
- falling asleep during normal activities like driving
- hallucination, loss of contact with reality
- new or increased gambling urges, sexual urges, uncontrolled spending, binge or compulsive eating, or other urges
- signs and symptoms of low blood pressure like dizziness; feeling faint or lightheaded, falls; unusually weak or tired
- swelling in your legs and feet
- suicidal thoughts or other mood changes
- trouble passing urine or change in the amount of urine
- trouble sleeping
- uncontrolled movements of the mouth, head, hands, feet, shoulders, eyelids or other unusual muscle movements
Side effects that usually do not require medical attention (report these to your doctor or health care professional if they continue or are bothersome):
What may interact with this drug?
- antihistamines for allergy, cough and cold
- certain medicines for bladder problems like oxybutynin, tolterodine
- certain medicines for stomach problems like dicyclomine, hyoscyamine
- certain medicines for travel sickness like scopolamine
- sodium bicarbonate
- some flu vaccines